David Ramstad, LMFT

Approaches that inform online care

Existential therapy focuses on questions of meaning, choice, and responsibility. It helps people facing emptiness, major life changes, or confusion about direction by encouraging honest reflection and clearer values. Client-centered therapy emphasizes listening, empathy, and meeting people where they are. It is useful when someone needs a supportive space to process feelings and be heard without judgment.

Cognitive Behavioral Therapy, or CBT, looks at how thoughts affect feelings and behavior. It teaches concrete skills for managing anxiety, depression, and unhelpful patterns, often with practical exercises to try between sessions. Together these approaches let conversations range from deep meaning to concrete skills, depending on what a person needs that week.

Finding the right mix of approaches is part of the work. The therapist will collaborate with each person to choose methods that match their goals, symptoms, and preferences. That collaborative process helps set realistic steps and clear priorities for the time spent together.

Online sessions are offered by licensed professionals using video calls, phone sessions, live chat, and text-based messaging. Video is helpful for longer weekly sessions and deeper conversations, while phone calls can be easier when bandwidth or camera use is limited. Live chat and messaging let people check in between sessions or handle shorter updates and skill practice. These formats provide flexibility so therapy can fit into busy schedules and different routines.